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February 1997, Vol 151, No. 2 >
Article | February 1997

Tuberculosis Testing: Physician Attitudes and Practice FREE

Jeff Cersonsky, MD
Arch Pediatr Adolesc Med. 1997;151(2):212. doi:10.1001/archpedi.1997.02170390102027.
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I read with interest the article titled "Tuberculosis Testing: Physician Attitudes and Practice" by Dr Cheng and her colleagues and the accompanying "Editor's Note" by Dr DeAngelis, both published in the July 1996 issue of the Archives.1 It was also interesting to see another survey2 documenting poor compliance to the American Academy of Pediatrics' tuberculosis testing recommendations. What we need is a survey on why pediatricians and family practitioners do not adhere to the recommendations, which should lead to a rethinking of the recommendations themselves.

I am a fellow of the American Academy of Pediatrics and find most of its recommendations reasonable. However, the tuberculosis guidelines do not make clinical sense to me. First, the Mantoux test has never been clinically proved to be superior in the hands of the average office personnel because it is technically much more difficult to administer correctly. In fact, the Mono-Vacc (Pasteur

REFERENCES

1 +
Cheng TL, Miller EB, Ottolini M, Brasseux C, Rosenquist G.  Tuberculosis testing: physician attitudes and practice . Arch Pediatr Adolesc Med . 1996;;150; 682-685.
2 +
Driver C, Valway SE, Cantwell MF, Onorato IM.  Tuberculin skin test screening in schoolchildren in the United States . Pediatrics . 1996;;98:97-102.
3 +
Catanzaro A.  Multiple puncture skin test and Mantoux test in Southeast Asian refugees . Chest . 1985;;87:346-350.
4 +
DonaldsonJC, Elliot RC.  A study of co-positivity of three multipuncture techniques with intradermal PPD tuberculin . Am Rev Respir Dis . 1978;;118:843-846.
5 +
American Academy of Pediatrics. Red Book: Report of the Committee of Infectious Diseases . Elk Grove Village, Ill: American Academy of Pediatrics; 1994;:481.
6 +
Starke JR.  Tuberculosis skin testing: new schools of thought . Pediatrics . 1996;; 98:123-124.

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References

1 +
Cheng TL, Miller EB, Ottolini M, Brasseux C, Rosenquist G.  Tuberculosis testing: physician attitudes and practice . Arch Pediatr Adolesc Med . 1996;;150; 682-685.
2 +
Driver C, Valway SE, Cantwell MF, Onorato IM.  Tuberculin skin test screening in schoolchildren in the United States . Pediatrics . 1996;;98:97-102.
3 +
Catanzaro A.  Multiple puncture skin test and Mantoux test in Southeast Asian refugees . Chest . 1985;;87:346-350.
4 +
DonaldsonJC, Elliot RC.  A study of co-positivity of three multipuncture techniques with intradermal PPD tuberculin . Am Rev Respir Dis . 1978;;118:843-846.
5 +
American Academy of Pediatrics. Red Book: Report of the Committee of Infectious Diseases . Elk Grove Village, Ill: American Academy of Pediatrics; 1994;:481.
6 +
Starke JR.  Tuberculosis skin testing: new schools of thought . Pediatrics . 1996;; 98:123-124.

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